Program development using intervention mapping in primary healthcare settings to address elder abuse: A randomized controlled pilot study

Background: Abuse of elderly women is of great concern and yet relatively little is known about interventions. Objectives: The aim of this study was to develop and test a culturally informed treatment, based on Intervention Mapping (IM), for primary healthcare settings. The intervention targets family members of elderly women and seeks to reduce elder abuse. Methods: N = 80 family members of elderly women were randomized to intervention or control. Elderly women completed assessment prior to randomization. Elder abuse was measured by self-reported frequency of neglect, physical, psychological, and financial abuse in the last 2 months across 16 items. Intervention included 4 sessions, each under 1 hr. At 2-month follow-up, elderly women completed an assessment. Linear mixed modeling was used for analyses. Results: Significant reduction in frequency of psychological abuse and neglect was found in comparison to control, with trend effects for financial abuse (F = 127.12, p \u3c .005; F = 95.4; p \u3c .005; and F = 16.53, p \u3c .07, respectively). Physical abuse was infrequent. Conclusion: This culturally tailored intervention reduced elder abuse. Given its basis in IM, it is well-positioned for roll-out and testing in a larger randomized trial to study adoption, implementation, and sustainability in practice settings

Impact of counseling on the awareness of elderly women’s family about elder abuse according to the transtheoretical model

Background: The population of the elderly has grown in recent years in the world and similarly in Iran. Objective: The aim of this study was to investigate the impact of counseling on the elderly women’s family and raising their awareness about the elder abuse. Methods: This clinical trial study was conducted from August to December 2017 in the health centers of Shahiryar, Tehran Province. Sixty five elderly women were selected by convenient sampling. Then, their first grade families were randomly assigned to two groups: intervention (n=34) and control (n=31). The intervention group received four sessions based on transtheoretical model. Modified questionnaire was evaluated elder abuse and the data analyzed by Pearson chi-square. Findings: The findings showed that counseling sessions, according to the transtheatrical model, can cause a significant reduction in negligence (P<0.005), psychological abuse (P=0.006) and financial harassment (P<0.005) in elderly women’s family. None of the elderly reported any physical abuse. Conclusion: The results showed that counseling based on transtheoretical model could be effective on raising awareness of the elderly women’s family. It is proposed to create a program of counseling for families, elderly women and increase sensitivity of this phenomenon. Keywords: Counseling, Elder abuse, Transtheoretical model, Awarenes